Individual
SURENDER VUTHOORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
63532 29 PALMS HWY, STE A, JOSHUA TREE, CA 92252
(760) 366-8491
(760) 346-2471
Mailing address
PO BOX 168, 6353229 PALMS HWY STE A, JOSHUA TREE, CA 92252
(760) 366-8491
(760) 346-2471
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A33804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A338040
BLUE SHIELD
CA
05
—
00A338040
—
CA
05
—
00A338041
—
CA
01
—
756061629
RAILROAD MEDICARE NUMBER
CA
01
—
953529571
BLUE CROSS
CA
Enumeration date
02/02/2007
Last updated
05/20/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us